Margaret Isabel Fitch

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PURPOSE To assess patient preference for oral versus intravenous (i.v.) palliative chemotherapy (CT). A strong preference would be an important quality-of-life issue. PATIENTS AND METHODS A structured interviewer-administered scenario-based questionnaire evaluated incurable cancer patients who would be likely to receive palliative CT in the future. Using(More)
PURPOSE Research has drawn attention to the challenges that patients receiving treatment for head and neck cancers experience, including the physical and emotional impact of diagnosis and treatment, the effects of weight loss, challenges related to eating and strategies used by patients to address nutritional problems. There is limited research in head and(More)
The Supportive Care Framework for Cancer Care was originally formulated in 1994 (Fitch, 1994). The framework was designed as a tool for cancer care professionals and program managers to conceptualize what type of help cancer patients might require and how planning for service delivery might be approached. The framework has been presented in various arenas(More)
To determine the financial and family resources burden associated with the treatment of cancer. A questionnaire was developed to determine the direct monthly “out-of-pocket costs” (OOPC), the indirect costs, and the associated perceived family burden. A self-administered questionnaire using a quota sample from five cancer clinics in Ontario, Canada was(More)
PURPOSE/OBJECTIVES To explore knowledge, attitudes, beliefs, and practices regarding breast cancer detection practices among South Asian women. DESIGN Descriptive exploratory design. SETTING Toronto, Ontario, Canada. SAMPLE 57 South Asian women, age 40 and over, who are first generation immigrants from India and Pakistan and speak one of the four(More)
The purpose of this exploratory study was to understand what motivates patients to ask or not ask for assistance when they have expressed need in specific areas. A qualitative approach was used to explore the desire for assistance of patients with lung cancer who attended a regional cancer centre. The research questions were: (1) Why do patients with lung(More)
Gynecologic cancers often place a heavy emotional and physical burden on patients. However, there is a lack of information about the types of supportive care needs that these patients have, the services that are available, and whether patients want help with their needs. The aims of this cross-sectional, descriptive study were to (1) identify the supportive(More)
This qualitative study explored issues of support and coping for couples where the man had been diagnosed with prostate cancer. Thirty-four men with prostate cancer and their spouses were interviewed separately at three points in time: prior to surgery; 8 to 10 weeks post-surgery; and 11 to 13 months post-surgery. The core category for the couples'(More)
This paper draws on the results of a longitudinal, qualitative study of men with prostate cancer (treated with prostatectomy) and their spouses. Interviews were conducted separately and simultaneously with men and their spouses, at three points in time (pre-surgery, 8-10 weeks post-surgery and 11-13 months post-surgery). The primary focus in the paper is on(More)
Most women with a diagnosis of ovarian cancer, because of the advanced nature of the disease at the time of diagnosis, will face the very real possibility of an early death. Thus the disease can have a significant impact on women who play a central role in the day-to-day management of family life, the nurture of children, and the care of extended family.(More)